在针导活检中诊断出图像向的辐射痕和复杂硬化病变的风险增加:一项回顾性研究
Carla Darras1, Marcela Uchida2
1Radiology Department, Clínica Alemana de Santiago, Vitacura 5951, 7630000, Santiago, RM, Chile. cdarras@alemana.cl.
European radiology
|June 29, 2023
概括
通过皮肤活检诊断的放射性痕 (RS) 和复杂硬化病变 (CSL) 显示,手术切除后恶性病变的升级率较低. 在近三分之一的病例中,在活检时的相关异位症被低诊断,这表明需要谨慎管理.
科学领域:
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
- 在瘤学瘤学.
背景情况:
- 放射性痕 (RS) 和复杂性硬化病变 (CSL) 经常通过皮肤活检来诊断.
- 确定这些病变的升级率对于适当的患者管理和手术决策至关重要.
研究的目的:
- 为了确定放射性痕 (RS) 和通过皮肤活检诊断的复杂硬化病变 (CSL) 的升级率.
- 为了评估手术后新型异型症的发生率和随访后后续恶性瘤的诊断.
主要方法:
- 在2007年至2020年间通过皮肤活检诊断出图像向性RS和CSL的回顾性单一机构研究.
- 对患者人口统计,成像,活检,组织学和随访数据的审查.
- 对分析的大多数病变进行了手术切除.
主要成果:
- 在101个分析的病变中,只有一个 (1.3%) 在外科切除后升级为低级DCIS.
- 在初始活检时,近三分之一的病例中,相关的缺陷不够诊断.
- 在随访期间,两种恶性瘤在不同的象限发展,两者都与活检时的异型有关.
结论:
- 图像检测的RS/CSL具有较低的升级率,即使与非典型性相关.
- 核心针活检的升级率与更大的采样方法相比较,这对可访问性很重要.
- 可以考虑保守的管理,但必须仔细跟踪并考虑相关的异型症.
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